提高多发性硬化症临床试验人群的多样性
Ruth Ann Marrie1, Jeremy Chataway2, Barbara E Bierer3
1Departments of Internal Medicine and Community Health Sciences, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
概括
提高多发性硬化症 (MS) 临床试验的多样性至关重要. 建议侧重于包容性实践和以参与者为中心的方法,以改善试验代表性和结果.
科学领域:
- 神经学 神经学
- 临床试验 临床试验
- 健康 公平 卫生 公平
背景情况:
- 人口因素,健康的社会决定因素 (SDoH),健康不平等和差异显著影响多发性硬化症 (MS) 的结果.
- 目前的临床试验参与者往往不反映受治疗的多发性硬化症患者的多样性.
研究的目的:
- 制定可行的建议,以增加多样性和纳入MS临床试验.
- 解决MS研究中不同人群代表性不足的问题.
主要方法:
- 一个国际研讨会召集了MS临床试验,SDoH,健康公平和监管科学方面的专家.
- 参加者包括委员会成员和外部专家,这些专家因其多样化的专业知识和背景而被选中.
主要成果:
- 关键建议包括实施多样性计划,社区参与,文化能力培训和灵活的资格标准.
- 建议采用生物学上合理的标准,适应性试验设计和减少参与者负担.
- 敦促调查人员报告试验参与者的人口统计和SDoH数据.
结论:
- 这些建议为赞助商和研究人员提供了切实可行的策略,以提高MS临床试验群体的多样性和包容性.
- 提高试验包容性对于可泛化的研究结果和所有多发性硬化症患者的公平医疗保健至关重要.
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